When a prolapsed cord is detected, what initial action should be taken?

When a prolapsed cord is detected, the initial action is to push the fetal head up and change the maternal position. This intervention is crucial because a prolapsed umbilical cord occurs when the cord slips ahead of the presenting part of the fetus, leading to possible compression of the cord and a decrease in blood flow and oxygen to the fetus. Elevating the fetal head can relieve pressure on the cord, which is vital to maintaining fetal perfusion and preventing fetal distress. Adjusting the maternal position can further aid in alleviating any compression on the cord and improving blood flow.

Immediate surgical intervention is not the first response, as this may not be required if effective measures can be taken to relieve the pressure. Administering medication to stabilize the mother is not appropriate in the context of a prolapsed cord, as the priority lies in addressing the immediate risk to the fetus rather than managing maternal stability. Waiting for the fetal heart rate to stabilize does not address the immediate threat posed by the prolapsed cord and could lead to additional complications for the fetus. Therefore, the correct action involves actively managing the situation to ensure optimal outcomes for both the mother and the fetus.